Camas Friends Church will be hosting our tenth annual Peace Camp. It is primarily geared toward kids who are going into 4th, 5th, and 6th grade, though we also have programming for kids going into kindergarten through third grade.

Peace Playhouse is a great opportunity to grow as a peacemaker. You will learn about how to have peace with yourself, with others, and with all of creation. Conflict resolution, self-care, compassionate care for those in our world who most suffer, and care for the earth are some topics we've engaged in recent years. We will have discussion, activities, yoga, gardening, art, and music. And snacks!

* Required

Child's Name *

Your answer

Grade Fall 2018 *

Your answer

Age *

Your answer

Parent's Name *

Your answer

Home Address

Your answer

Email Address

Your answer

Emergency Contact Name and Number *

Your answer

Alternate Contact Name and Number *

Your answer

Child's Physician (Name and Number)

Your answer

Medical Alerts/Conditions You'd Like Us to Know

Your answer

Special Dietary Needs

Your answer

Permission to Treat: *

I grant my permission and authorize Camas Friends Church staff or volunteers to obtain emergency medical or dental care in case of acute illness or injury to my child. I understand that I will notified promptly.

Yes. Please obtain before contacting me if life-threatening.

No. Please contact me or alternate immediately and I will direct actions to take.

Other:

I grant my permission to take photos of my child during the camp for camp purposes only. *

Yes

No

Other:

By submitting this registration I affirm that I have the legal authority to make the above consents. *

On the first day you will be required to sign this registration when confirming registration for your child.

I affirm that I have the legal authority to register my child and authorize all above consents.